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1 First Department of Internal
Medicine,
To explore the role of adiposity on
hypertriglyceridemia associated with obesity, we examined the relation
between triglyceride secretion rate (TGSR) and plasma leptin, insulin,
or insulin resistance in ventromedial hypothalamus (VMH)-lesioned rats
in the dynamic and static phases (2 and 14 wk after lesions,
respectively). VMH-lesioned rats gained body weight (BW) at fivefold
higher rates in the dynamic phase compared with sham-operated control
(sham) rats, and BW gain reached a plateau in the static phase.
Parametrial fat pad mass was increased 2.5-fold in VMH-lesioned rats
compared with sham rats in both phases. Leptin levels were sixfold
higher in VMH-lesioned rats of the dynamic phase and even higher in the static phase. Insulin levels were twofold higher in VMH-lesioned rats
than in sham rats in both phases. In the dynamic phase,
VMH-lesioned rats had 2-fold higher plasma triglyceride (TG) levels and
2.6-fold higher TGSRs, whereas steady-state plasma glucose (SSPG)
values, an indicator of insulin resistance, were lower. SSPG values
became significantly higher in VMH-lesioned rats in the static phase, but TGSR was not further accelerated. TGSR was significantly associated with leptin, independent of insulin. Leptin was highly correlated with
BW, fat mass, and nonesterified fatty acids (NEFA). These results
suggest that adiposity itself plays a critical role in TGSR probably
through increased NEFA flux from enlarged adipose tissues. Insulin
resistance is not associated with the overproduction of TG in this
animal model for obesity.
hyperinsulinemia; insulin resistance; ventromedial hypothalamus lesions
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